Individual
BLANCA ESTELA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4945 NE 7TH AVE, PORTLAND, OR 97211-3941
(503) 258-4555
Mailing address
1500 NE IRVING ST, SUITE 250, PORTLAND, OR 97232-2243
(503) 258-4200
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/01/2009
Last updated
05/01/2009
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